Acceptance and completion of treatment among sex offenders

A sample of 778 male sex offenders, assessed from the 1960s to the 2000s, was examined on expressed desire for treatment, treatment attendance, and completion of at least one course of therapy. A variety of treatment approaches was used, reflecting practices of the times. Overall, 50.6% expressed a desire for treatment, 42.0% attended, and 13.6% completed therapy. Offenders' admitter status, criminal history, age, education, and marital status all played some role in desire for treatment, attendance, and completion. Analysis revealed that the desire for and completing treatment has declined over time. Offenders who were exhibitionists or substance abusers or who scored higher on psychopathy, attention deficit/hyperactivity disorder, or learning difficulties or had head injuries were more likely to enter treatment but were no more likely to complete it than were offenders who scored low. The need to focus on motivating different types of sex offenders to accept and participate in treatment is discussed.